NPI | 1891398285 |
---|---|
Doing Business As | WISE MIND ONLINE THERAPY |
Entity Type | Organization |
Authorized Contact | TRAVIS REED STEPHENS Owner / Share Holder 208-243-3332 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-11-18 |
Last Update Date | 2020-11-18 |